PT - JOURNAL ARTICLE AU - Foo, Caroline S. AU - Abdelnabi, Rana AU - Vangeel, Laura AU - De Jonghe, Steven AU - Jochamns, Dirk AU - Weynand, Birgit AU - Neyts, Johan TI - Ivermectin does not protect against SARS-CoV-2 infection in the Syrian hamster model AID - 10.1101/2022.02.22.481472 DP - 2022 Jan 01 TA - bioRxiv PG - 2022.02.22.481472 4099 - http://biorxiv.org/content/early/2022/02/24/2022.02.22.481472.short 4100 - http://biorxiv.org/content/early/2022/02/24/2022.02.22.481472.full AB - Ivermectin, an FDA-approved antiparasitic drug, has been reported to have in vitro activity against SARS-CoV-2. An increasing off-label use of Ivermectin for COVID-19 has been reported. We here assessed the effect of Ivermectin in Syrian hamsters infected with the SARS-CoV-2 Beta (B.1.351) variant. Infected animals received a clinically relevant dose of Ivermectin (0.4 mg/kg subcutaneously dosed) once daily for four consecutive days after which the effect was quantified. Ivermectin monotherapy did not reduce lung viral load and even significantly worsened the SARS-CoV-2-induced lung pathology. Additionally, it did not potentiate the activity of Molnupiravir (Lagevrio™) when combined with this drug. This study contributes to the growing body of evidence that Ivermectin does not result in a beneficial effect in the treatment of COVID-19. These findings are important given the increasing, dangerous off-label use of Ivermectin for the treatment of COVID-19.Competing Interest StatementThe authors have declared no competing interest.